[Eighty cases of uterine rupture at the maternity service of the National Hospital Center of Ouagadougou , Burkina Faso].
In this retrospective study, we recall the frequency of uterine ruptures within a national health center of West Africa and propose solutions in order to reduce the incidence. This very high frequency was 23/1000, i.e. one uterine rupture for 44 deliveries. The feto-maternal prognosis was poor with a high stillbirth rate and maternal mortality. Maternal mortality which was 35% of cases represented 22.7% of the causes of maternal mortality observed within the unit during the survey. The stillbirth rate was 95% representing 145/1000 of the hospital stillbirth rate recorded during the survey. Maternal morbidity was also high because 14% of those who survived presented a parietal suppuration with the release of suture during the immediate postsurgical period. The seriousness of the feto-maternal prognosis is linked to a lack of adequate patient management. The importance of uterine ruptures in the obstetrical activity of the unit needs a joint and urgent action of all intervening parties within the sanitary system in order to contend with this scourge, which is the sign of poor quality health care in Obstetrics.
Lankoandé
J
J
Faculté des Sciences de la Santé, Université de Ouagadougou, Burkina Faso.
Ouédraogo
C M
CM
Touré
B
B
Ouédraogo
A
A
Akotionga
M
M
Sano
D
D
Dao
B
B
Koné
B
B
D000293:Adolescent; D000328:Adult; D002050:Burkina Faso; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D015994:Incidence; D009775:Obstetrics and Gynecology Department, Hospital; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D011787:Quality of Health Care; D012189:Retrospective Studies; D012307:Risk Factors; D014597:Uterine Rupture / Q000209:etiology*
A propos de 80 cas de ruptures utérines à la maternité du Centre Hospitalier National de Ouagadougou, Burkina Faso.